Leeanna Smith, COTA/L
Occupational Therapy Assistant in Park Rapids, MN. Individual provider (NPI-1).
NPI number1164026530
StatusActive
Last updated in NPPESNov 25, 2020
Details
- NPI
- 1164026530
- Entity type
- Individual (NPI-1)
- Name
- Miss Leeanna Smith
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 25, 2020
- Certification date
- Nov 25, 2020
- Last updated
- Nov 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 202563 | MN | Yes |
Practice location
619 6th St WPark Rapids, MN 56470-1301
Phone 218-732-3329
Mailing address
626 34th St NwBemidji, MN 56601-2189
Phone 740-258-0400
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